Sports Medicine Associates of San Antonio, PA
NPI 1285781765ActiveOrganization· Orthopaedic Surgery, Sports Medicine· San Antonio, TX
Orthopaedic Surgery, Sports Medicine in San Antonio, Texas, registered in NPPES in January 2007, part of Sports Medicine Associates San. The authorized official on file is Monica L. Mazone, Credentialing Specialist.
Overview
| NPI | 1285781765 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sports Medicine Associates San |
| NPI issued | Jan 5, 2007 |
| Last updated in NPPES | Sep 30, 2024 |
| Certified by provider | Sep 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | — | TX |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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